This paper describes processes used by the state of Florida to ensure that existing subject matter competencies were sufficient to guide preservice health education teacher programs. The project was designed to develop new subject matter competencies for Florida's preK-12 health educators. Procedures included: (1) reviewing existing competencies, (2) conducting a comparative analysis of the Sunshine State Standards and existing health teacher competencies to determine deficiency areas, (3) developing new competencies in areas of deficiency, (4) identifying subject matter specialists to serve on a panel of experts, (5) establishing review procedures for the panel, (6) conducting a preliminary review, (7) revising competencies based on comments from the panel, (8) conducting a second review with a panel of teacher educators from Florida's public and private teacher training institutions, (9) revising competencies based on comments from the teacher educator panel, (10) providing a revised draft to Florida's Education Standards Commission Task Force and the Center for the Study of Teacher and Learning for review, (11) developing a final version, and (12) validating the process and product. Three appendixes, which comprise the bulk of the paper, present standards and accomplished practices for Florida's preK-12 Health Education Teachers, standards and accomplished practices for Florida's health education teachers (review document), and product review panel members. (Author/SM)